Fields marked with * are mandatory. 
Membership Type
Would you like to join the Service User or Carer or Public membership? (Service Users must have used NSFT services within the last three years; Carers must currently be the carer of an NSFT service user; Service Users or Carers can be Public members if preferred)
Member type
Title
First name *
Last name *
Date of birth *
Gender
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Address *
 
 
Town or City
County
Postcode *
Country
Telephone
Mobile
Email
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Preferred method of contact 


Ethnic Origin
Religion/Belief
Sexual Orientation